Articles | Open Access | https://doi.org/10.37547/ijmscr/Volume05Issue12-25

Comprehensive Approach To Predicting Fetal Rh Immunization In Women With A Complicated History

Kamola Sattarova , PhD, Senior lecturer of the Department of Obstetrics and Gynecology, Reproductology, Tashkent State Medical University, Uzbekistan

Abstract

Currently, early diagnostics of maternal and paternal Rh status, careful anamnesis, use of Dopplerometry, minimization of invasive diagnostic and therapeutic procedures, and avoidance of immunization development in non-sensitized pregnant women are part of the management of pregnant women with Rh immunization. Recently, more than 260 alleles of the RHD gene have been identified in the Rhesus system. 114 pregnant women with Rh negative blood were examined in the Tashkent Interdistrict Perinatal Center #9 for the period from 2021 to 2024. All the examined pregnant women were divided into 3 groups. Blood sampling was done at the first visit of the pregnant woman to the family health clinic, blood sampling of the newborn was done in the delivery room, from the umbilical artery of the placenta. The frequency of occurrence of Rh-phenotypes in the studied patients was studied. The results showed that among Rh(D)-positive newborns, the most common phenotype was DCcee - (31.6%), followed in descending order by the phenotypes DCCee - (21.4%), DCcEe - (18.6%) and DccEe - (15.9%). Thus, according to the phenotype of the mother with Rh-negative blood type in the presence of a difference from the phenotype of the fetus may depend on the development of hemolytic disease of both the fetus and the newborn. HDFN is developed with the maternal phenotype "ccee" and the fetal phenotype "CCee" in 47.9% of cases, with the maternal phenotype "ccEe" and the fetal phenotype "CCee" in 50.0% of cases, with the maternal phenotype "Ccee" and the fetal phenotype "CCee" in 50.0% of cases, and with the fetal phenotype "Ccee" in 100% of cases.

Keywords

Rh immunization, Rh group phenotypes, hemolytic disease of the newborn, prevention of Rh immunization of the fetus

References

Бабаджанова Гулжахон Саттаровна, Саттарова Комола Абдулносировна, Асадова Мухаббат Икромовна ГЕМОЛИТИЧЕСКАЯ БОЛЕЗНЬ НОВОРОЖДЕННОГО, ОБУСЛОВЛЕННАЯ МАТЕРИНСКИМИ АНТИТЕЛАМИ АНТИ -rh"(E) // Биология и интегративная медицина. 2018. №9. URL: https://cyberleninka.ru/article/n/gemoliticheskaya-bolezn-novorozhdennogo-obuslovlennaya-materinskimi-antitelami-anti-rh-e (дата обращения: 20.12.2025).

Mineeva N.V. Groups of human blood. Basics immuno- haematology. St. Petersburg; 2004, p.188. (in Russian).

Koroleva, E. A. New rules and technologies for immunohematological examination of recipients and pregnant women / E. A. Koroleva // Handbook of the head of the Clinical Diagnostic Laboratory. – 2015. – № 10. – p. 4-13. (in Russian).

Pashkova I.A. Quality assurance of transfusion therapy in a multidisciplinary hospital in the provision of high-tech surgical care to patients. Diss. St. Petersburg; 2014., p.47. (in Russian).

Agrawal, A., Hussain, K. S., & Kumar, A. (2020). Minor blood group incompatibility due to blood groups other than Rh(D) leading to hemolytic disease of fetus and newborn: A need for routine antibody screening during pregnancy. Intractable and Rare Diseases Research, 9(1), P1–P5.

Beckers E. A., Faas B. H., von der Borne A. E. et al. The R0HAR Rh:33 phenotype results from substitution of exon 5 of the RHCE gene by corresponding exon of the RHD gene // Br. J. Haematol. — 1996. — Vol. 92. — P. 751–757.

Manzanares S. (2014) Noninvasive fetal RhD status determination in early pregnancy. Fetal Diagnosis and Therapy, vol. 35 (1), pp. 7–12.

Sapa A. (2014) Diagnostic utility of RHD-gene detection in maternal plasma in the prophylaxis of feto-maternal Rh-incompatibility. Ginekologia Polska, vol. 85 (8), pp. 570–600.

Scott M. L. The complexities of the Rh system // Vox Sanguinis. — 2004. — No 87 (suppl. 1). — P. 58–62.

SchonewilleH.,DoxiadisI.I.,LeveringW.H.,RoelenD.L.,ClaasF.H.,BrandA. HLA-DRB1 associations in individuals with single and multiple clinically relevant red blood cell antibodies. Transfusion. 2014; 54(8): 1971–80.

Webb, J., & Delaney, M. (2018, October 1). Red Blood Cell Alloimmunization in the Pregnant Patient. Transfusion Medicine Reviews. W.B. Saunders.

Velkova, E. K., Makarovska-Bojadzieva, T., Dejanova-Ilijevska, V., Grubovic-Rastvorceva, R., Petkovic, E., Useini, S., Ristovska, E., & Drakulevska, S. (2019). Hemolytic disease of the fetus and newborn due to anti-G+C aloantibody-case report. Vox Sanguinis, 114(SUPPL 2), p. 98.

Özköse, Z. G., & Oğlak, S. C. (2021). The combined effect of anti-d and non-d rh antibodies in maternal alloimmunization. Turkish Journal of Obstetrics and Gynecology, 18(3), 181–189.

Article Statistics

Copyright License

Download Citations

How to Cite

Kamola Sattarova. (2025). Comprehensive Approach To Predicting Fetal Rh Immunization In Women With A Complicated History. International Journal of Medical Sciences And Clinical Research, 5(12), 113–117. https://doi.org/10.37547/ijmscr/Volume05Issue12-25